| NPI | 1164264610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 146776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16521) |
| 106H00000X Marriage & Family Therapist (Licence: CA 146776) | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |